Skip to main content
SpringerLink
Log in

Der arrhythmiegefährdete Patient: Mitralklappenprolaps

  • Chapter
Plötzlicher Herztod

  • 12 Accesses

Zusammenfassung

Nachdem Osler 1880 erstmals ein schreiähnliches Systolikum beschrieben hatte, berichtete Gallavardin 1887 über einen mesosystolischen Galopp, welcher zunächst auf pleuro-perikar-diale Adhäsionen zurückgeführt wurde. Erst 1931 stellte White die Hypothese auf, daß abnormale Chordae tendineae der Mitralklappe Ursache des mesosystolischen Klicks bzw. Geräusches seien (31). 1963 konnten Barlow et al. in angiographischen Untersuchungen beweisen, daß Klick und Geräusch auf eine sich vorwölbende Mitralklappe zurückzuführen sind (6, 47). Der nunmehr allgemein akzeptierte Ausdruck des Mitralklappenprolaps (MVP) wurde 1966 von Criley geprägt (21).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Allen H, Harris A, Leatham A (1974) Significance and prognosis of an isolated late systolic murmur: A 9- to 22-year follow-up. Br Heart J 36: 525–532

    Article  PubMed  CAS  Google Scholar 

  2. Anderson R (1980) Idiopathic mitral valve prolapse and sudden death. Am Heart J 100: 941–942

    Article  PubMed  CAS  Google Scholar 

  3. Andre-Fouet X, Tabib A, Jean-Louis P, Didier A, Dutertre P, Gayet C, Huygue de Mahenge A, Loire R, Pont M (1985) Mitral Valve Prolapse, Wolff-Parkinson-White Syndrome, His Bundle Sclerosis and Sudden Death. Am J Cardiol 56: 698–699

    Article  Google Scholar 

  4. Appleblatt NH, Willis PW, Lenhart JA et al. (1975) Ten to 40 years follow-up of 69 patients with systolic click with or without apical late systolic murmur. Am J Cardiol 35: 119

    Article  Google Scholar 

  5. Baedecker W, Alt E, Goedel-Meinen L, Schmidt G, Bibra H v, Klein G, Ulm K (1984) Herzrhythmusstörungen und ihre klinische Bedeutung beim Mitralklappenprolaps. Dtsch Med Wochenschr 109: 661–666

    Article  Google Scholar 

  6. Barlow JB, Pocock WA, Marchand P et al. (1963) The significance of late systolic murmurs. Am Heart J 66: 443–452

    Article  Google Scholar 

  7. Barlow JB, Pocock WA (1979) Mitral valve prolapse, the specific billowing mitral leaflet syndrome, or an insignificant nonejection systolic click. Am Heart J 97: 277–285

    Article  PubMed  CAS  Google Scholar 

  8. Barlow JB, Pocock WA (1984) The mitral valve prolapse enigma — two decades later. Mod Conc Cardiovasc Dis 53: 13–17

    Google Scholar 

  9. Barlow JB, Pocock WA (1985) Billowing, Floppy, Prolapsed of Flail Mitral Valves? Am J Cardiol 55: 501–502

    Article  PubMed  CAS  Google Scholar 

  10. Barret PA, Peter T, Swan HJC, Singh BN, Mandel WJ (1980) The frequency and prognostic significance of electrocardiographic abnormalities in clinically normal individuals. Prog Cardiovasc Dis 23: 299–319

    Article  Google Scholar 

  11. Belardi J, Lardani H, Sheldon W (1981) Idiopathic prolapse of the mitral valve: Follow-up study of 136 patients studied by angiography. Am J Cardiol 47: 426

    Article  Google Scholar 

  12. Bethge KP, Bethge D, Meiners G, Lichtlen PR (1983) Incidence and prognostic significance of ventricular arrhythmias in individuals without detectable heart disease. Eur Heart J 4: 338–346

    PubMed  CAS  Google Scholar 

  13. Baharati S, Granston AS, Liebson PR, Loeb HS, Rosen KM, Lev M (1980) The conduction system in mitral valve prolapse syndrome with sudden death. Am Heart J 101 (suppl 5): 667–670

    Article  Google Scholar 

  14. Bluschke V, Koehler E, Seipel L, Leuner CH (1979) Arrhythmien beim Mitralklappenprolapssyndrom — Eine echo- und elektrokardiographische Studie. Z Kardiol 68 (Suppl 6): 396–402

    PubMed  CAS  Google Scholar 

  15. Brodsky M, Wu D, Denes P, Kanakis C, Rosen KM (1977) Twentyfour-hour continuous electrocardiographic monitoring in fifty male medical students without apparent heart disease. Am J Cardiol 39: 390

    Article  PubMed  CAS  Google Scholar 

  16. Burch GE (1980) Of the mitral valve and arrhythmias. Am Heart J 100: 583–584

    Article  PubMed  CAS  Google Scholar 

  17. Campbel RWF, Godman MG, Fiddler GI et al. (1976) Ventricular arrhythmias in syndrome of balloon deformity of mitral valve — definition of possible high risk group. Br Heart J 38: 1053–1057

    Article  Google Scholar 

  18. Chesler E, King RA, Edwards JE (1983) The myxomatous mitral valve and sudden death. Circ 67 (suppl 3): 632–639

    Article  CAS  Google Scholar 

  19. Cohen M, Pocock WA, Lakier JB, McLaven MJ, Lachman AS, Barlow JB (1978) Four years follow-up of black school children with non-ejection systolic clicks and mitral systolic murmurs. Am Heart J 95: 697

    Article  PubMed  CAS  Google Scholar 

  20. Cohen MV, Shah PK, Spindola-Franco H (1979) Angiographic-echocardiographic correlation in mitral valve prolapse: correlation with echocardiography. Am J Cardiol 40: 165–169

    Google Scholar 

  21. Criley SM, Lewis KB, Humphries SO et al. (1966) Prolapse of the mitral valve: Clinical and cineangiographic findings. Br Heart J 28: 488–496

    Article  PubMed  CAS  Google Scholar 

  22. Criley SM, Kissel GM (1975) Prolapse of the mitral valve — the click and late murmur syndrome. Prog Cardiol 4: 23–36

    Google Scholar 

  23. Curtius JM, Bents R, Bungard U, Borggrefe M, Bosilj M, Breuer HWM, Loogen F (1984) A prospective follow-up of 470 patients with mitral valve prolapse. Eur Heart J 5 (suppl 1): 226

    Google Scholar 

  24. Curtius JM, Loogen F (1985) Diagnose und klinische Bedeutung des Mitralklappenprolaps. Dtsch Med Wochenschr 110:591–595

    Google Scholar 

  25. Curtius JM, Loogen F (1985) Therapie des Mitralklappenprolaps und seiner Komplikationen. Dtsch Med Wochenschr 110: 595–597

    Article  PubMed  CAS  Google Scholar 

  26. Davies MJ, Moore BP, Braimbridge MVP (1978) The floppy mitral valve. Study of incidence, pathology and complications in surgical, necropsy and forensic material. Br Heart J 40: 468–481

    Article  PubMed  CAS  Google Scholar 

  27. DeMaria AN, Amsterdam EA, Vismara LA et al. (1976) Arrhythmias in the mitral valve prolapse syndrome: Prevalence, nature and frequency. Ann Intern Med 84: 656

    PubMed  CAS  Google Scholar 

  28. Ebm W, Klicpera M, Glogar D, Joskowicz G, Weber H, Propst P, Steinbach K, Kaindl F (1982) Computer assisted longterm ECG analysis in patients with mitral valve prolaps syndrome. In: Stott FD, Raftery EB, Clement DL, Wright SL (eds) ISAM, Intern. Symp. on Ambulat. Monitoring. Academic Press, London, pp 25–31

    Google Scholar 

  29. Hickey AJ, Wilcken DEL, Wright JS, Warren BA (1985) Primary (spontaneous) chordal rupture: relation to myxomatous valve disease and mitral valve prolapse. JACC 5: 1341–1346

    PubMed  CAS  Google Scholar 

  30. Jeresaty RM (1975) Etiology of the Mitral Valve Prolapse-Click Syndrome. Am J Cardiol 36: 110–113

    Article  PubMed  CAS  Google Scholar 

  31. Jeresaty RM (1979) Mitral Valve Prolaps. Raven Press

    Google Scholar 

  32. Koch FH, Hancock EW (1976) Ten year follow-up of forty patients with the midsystolic click/late systolic murmur syndrome. Am J Cardiol 37: 149

    Article  Google Scholar 

  33. Kreismann K, Kleiger R, Schad N et al. (1971) Arrhythmia in prolapse of the mitral valve. Circulation 43, (suppl II): 44

    Google Scholar 

  34. Manger-Cats V, Durrer D (1982) Prevalence of cardiac arrhythmias in the normal active population. In: Roelandt J, Hugenholtz PG (eds) Longterm ambulatory electrocardiography. Martinus Nijhoff, The Hague, Boston, London 1982, pp 123–132

    Chapter  Google Scholar 

  35. Markiewicz W, Stoner J, London E et al. (1976) Effect of transducer placement on echocardiographic mitral valve systolic motion. Eur J Cardiol 4: 359–366

    PubMed  CAS  Google Scholar 

  36. Markiewicz W, Stoner J, London E, Hunt SA, Popp RL (1976) Mitral Valve Prolapse in One Hundred Presumably Healthy Young Females. Circulation 53 (suppl 3): 464–473

    PubMed  CAS  Google Scholar 

  37. Meinertz T, Kasper W, Schmitt B, Treese N, Rueckel A, Zehender M, Hofmann T, Schuster HP, Pop T (1983) Herzrhythmusstörungen bei Herzgesunden. Dtsch Med Wochenschr 108: 527–531

    Article  PubMed  CAS  Google Scholar 

  38. Mills P, Rose J, Hollingsworth BA et al. (1977) Long-term prognosis of mitral-valve prolapse. N Engl J Med 297: 13–18

    Article  PubMed  CAS  Google Scholar 

  39. Morady F, Shen E, Bhandari A, Schwartz A, Scheinman MM (1984) Programmed Ventricular Stimulation in Mitral Valve Prolapse: Analysis of 36 Patients. Am J Cardiol 53: 135–138

    Article  PubMed  CAS  Google Scholar 

  40. Morganroth J, Mondelli IJ, Naito M, Chen CC (1981) Apical cross-sectional echocardiography standard for the diagnosis of idiopathic mitral valve prolapse syndrome. Chest 79: 23

    Article  PubMed  CAS  Google Scholar 

  41. Olsen EGJ, Al-Rufaie HK (1980) The floppy mitral valve — Study on pathogenesis. Br Heart J 44: 674–683

    Article  PubMed  CAS  Google Scholar 

  42. Pasternac A, Tubau JF, Puddu PE, Krol RB, DeChamplain J (1982) Increased Plasma Catecholamine Levels in Patients with symptomatic Mitral Valve Prolapse. Am J Med 73: 783–790

    Article  PubMed  CAS  Google Scholar 

  43. Perloff JK (1982) Evolving concepts of mitral-valve prolapse. N Engl J Med 307 (suppl 6): 369–370

    Article  PubMed  CAS  Google Scholar 

  44. Pockock WA, Bosman CK, Chesler E, Barlow JB, Edwards JE (1984) Sudden death in primary mitral valve prolapse. Am Heart J 107 (suppl 2): 378–382

    Article  Google Scholar 

  45. Procacci PM, Savran SV, Schreiter SK et al (1976) Prevalence of clinical mitral-valve prolapse in 1169 young women. N Engl J Med 294: 1086–1088

    Article  PubMed  CAS  Google Scholar 

  46. Puddu PE, Pastemac A, Tubau JF, Krol R, Fraley L, DeChamplain J (1986) QT interval prolongation and increased plasma catecholamine levels in patients with mitral valve prolapse. Am Heart J 105 (suppl 3): 422–428

    Article  Google Scholar 

  47. Reid J (1963) Mid-systolic clicks. S Afr Med J 35: 553

    Google Scholar 

  48. Retchin SM, Fletcher RH, Waugh RA (1984) Endocarditis and mitral valve prolapse: what is the „risk“? Int J Cardiol 5: 653–659

    Article  PubMed  CAS  Google Scholar 

  49. Roberts WC (1985) Mitral Valve Prolaps and Systemic Hypertension. Am J Cardiol 56: 703–704

    Article  PubMed  CAS  Google Scholar 

  50. Saltissi S, Crowther A, Byrne C, Clarke S, Jenkins BS, Webb-Peploe MM (1983) The effects of oral digoxin therapy in primary mitral leaflet prolapse. Eur Heart J 4: 828–837

    PubMed  CAS  Google Scholar 

  51. Savage DD, Garrison RJ, Devereux RB, Castelli WP, Anderson SJ, Levy D, McNamara PM, Stokes J, Karmel WB, Feinleib M (1983) Mitral valve prolapse in the general population; I. Epidemiologic features: The Framingham Study. Am Heart J 106: 571–576

    Article  PubMed  CAS  Google Scholar 

  52. Shappell SD, Marshall CE, Brown RE, Bruce TA (1973) Sudden Death and the Familial Occurrence of Mid-Systolic Click, Late systolic Murmur Syndrom. Circulation 48: 1128–1134

    PubMed  CAS  Google Scholar 

  53. Smith ER, Fraser DB, Purdy JW, Anderson RH (1977) Angiographic diagnosis of mitral valve prolapse: correlation with echocardiography. Am J Cardiol 40: 165–169

    Article  PubMed  CAS  Google Scholar 

  54. Swartz MH, Teichholz LE, Donoso E (1977) Mitral valve prolapse. A review of associated arrhythmias. Am J Med 62: 377–389

    Article  PubMed  CAS  Google Scholar 

  55. Tresch DD, Doyle TP, Boncheck LI, Siegel R, Keelan MH jr, Olinger N, Brooks HL (1985) Mitral Valve Prolapse Requiring Surgery. Am J Med 78: 245–250

    Article  PubMed  CAS  Google Scholar 

  56. Uretsky BF (1982) Does mitral valve prolapse cause nonspecific symptoms? Int J Cardiol 1: 435–442

    Article  PubMed  CAS  Google Scholar 

  57. Wann LS, Gross CM, Wakefield RJ, Kalbfleisch JH (1985) Diagnostic precision of echocardiography in mitral valve prolapse. Am Heart J 109 (suppl 4): 803–808

    Article  PubMed  CAS  Google Scholar 

  58. Ware JA, Magro SA, Luck JC, Mann DE, Nielsen AP, Rosen KM, Wyndham CRC (1984) Conduction System Abnormalities in Symptomatic Mitral Valve Prolapse: An Electrophysiologic Analysis of 60 Patients. Am J Cardiol 53: 1075–1078

    Article  PubMed  CAS  Google Scholar 

  59. Weber H, Klicpera M, Schuster J, Joskowicz G, Kaindl F (1984) Relationship between ventncular arrhythmias and localisation of a mitral-valve-prolapse (abstr.) Eur Heart J 5 (suppl 1): 243

    Google Scholar 

  60. Winkle RA, Lopes MG, Fitzgerald JW, Goodman DJ, Schroeder JS, Harrison DC (1975) Arrhythmias in Patients with Mitral Valve Prolapse. Circulation 52: 73–81

    PubMed  CAS  Google Scholar 

Download references

Author information

Author notes

  1. Dr. H. Weber

    Present address: Kardiologische Univ.-Klinik Wien, Garnisongasse 14, 1090, Wien, Österreich

Authors and Affiliations

    Authors
    1. Dr. H. Weber
      View author publications

      You can also search for this author in PubMed Google Scholar

    Editor information

    Editors and Affiliations

    1. Med. Klinik und Poliklinik — Innere Medizin C —, Westfälische Wilhelms-Universität, Albert-Schweitzer-Str. 33, 4400, Mönster, Deutschland

      G. Breithardt

    2. Med. Universitätsklinik and Poliklinik, Postfach 3880, 7900, Ulm, Deutschland

      V. Hombach

    Rights and permissions

    Reprints and permissions

    Copyright information

    © 1989 Dr. Dietrich Steinkopff Verlag, GmbH & Co. KG, Darmstadt

    About this chapter

    Cite this chapter

    Weber, H. (1989). Der arrhythmiegefährdete Patient: Mitralklappenprolaps. In: Breithardt, G., Hombach, V. (eds) Plötzlicher Herztod. Steinkopff. https://doi.org/10.1007/978-3-642-85382-1_7

    Download citation

    • DOI: https://doi.org/10.1007/978-3-642-85382-1_7

    • Publisher Name: Steinkopff

    • Print ISBN: 978-3-642-85383-8

    • Online ISBN: 978-3-642-85382-1

    • eBook Packages: Springer Book Archive

    Publish with us

    Policies and ethics

    Search

    Navigation